DAFTAR ISI

LEMBAR PENGENDALI DOKUMEN ......................................................................... i

KATA PENGANTAR ...................................................................................................... ii

DAFTAR ISI .................................................................................................................... iii

PERATURAN DIREKTUR RUMAH SAKIT UMUM KHALISHAH PALIMANAN

NOMOR : 007/SK/DIR/RSUKP/01/2022 TENTANG PEDOMAN TATA NASKAH
RUMAH SAKIT UMUM KHALISHAH PALIMANAN

LAMPIRAN PERATURAN DIREKTUR RUMAH SAKIT UMUM KHALISHAH

PALIMANAN NOMOR : 007/SK/DIR/RSUKP/01/2022 TENTANG PEDOMAN
TATA NASKAH RUMAH SAKIT UMUM KHALISHAH PALIMANAN

BAB I PENDAHULUAN ........................................................................................ 1

A. Latar Belakang ...................................................................................... 1
B. Maksud dan Tujuan .............................................................................. 2
C. Sasaran .................................................................................................. 2
D. Asas ...................................................................................................... 2
E. Ruang Lingkup ..................................................................................... 3
F. Pengertian Umum ................................................................................. 3

BAB II JENIS DAN FORMAT NASKAH DINAS 5

A. Naskah Dinas Arahan ........................................................................... 5
1. Naskah Dinas Pengaturan ............................................................. 5
a. Peraturan ................................................................................ 5
b. Pedoman ................................................................................ 14
c. Panduan ................................................................................. 30
d. Standar Prosedur Operasional (SPO) .................................... 34
e. Panduan Praktik Klinis (PPK) ............................................... 43
f. Instruksi ................................................................................. 46
g. Surat Edaran ........................................................................... 49

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 2. Naskah Dinas Penetapan (Keputusan) .......................................... 52
3. Naskah Dinas Penugasan .............................................................. 59
a. Surat Perintah ........................................................................ 59
b. Surat Tugas ............................................................................ 62
B. Naskah Dinas Korespondensi .............................................................. 68
1. Nota Dinas .................................................................................... 68
2. Memorandum ................................................................................ 71
3. Disposisi ........................................................................................ 73
4. Surat Dinas .................................................................................... 75
5. Surat Undangan ............................................................................ 78
C. Naskah Dinas Khusus .......................................................................... 82
1. Surat Perjanjian ............................................................................. 82
2. Surat Kuasa ................................................................................... 91
3. Berita Acara .................................................................................. 93
4. Surat Keterangan .......................................................................... 95
5. Surat Pengantar ............................................................................. 97
6. Pengumuman ................................................................................. 100
7. Notulen .......................................................................................... 103
D. Naskah Dinas Lainnya ......................................................................... 109
1. Telaahan staf ................................................................................. 109
2. Sertifikat ....................................................................................... 112
3. Laporan ......................................................................................... 114
4. Program ......................................................................................... 119
5. Proposal ......................................................................................... 123
6. Formulir ......................................................................................... 124
E. Naskah Dinas Elektronik ...................................................................... 125

BAB III PENYUSUNAN NASKAH ...................................................................... 126

A. Prinsip Penyusunan Naskah ................................................................ 126
B. Prosedur Pengetikan ............................................................................ 126
C. Penomoran Naskah Dinas .................................................................... 128

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 D. Media/Sarana Naskah Dinas ................................................................ 138
E. Ketentuan Surat-Menyurat .................................................................. 138
F. Hal – hal yang harus diperhatikan dalam penyusunan naskah dalam
Bentuk Surat ........................................................................................
139
BAB IV PENGGUNAAN LOGO RUMAH SAKIT UMUM KHALISHAH
PALIMANAN DALAM NASKAH DINAS .............................................. 143
A. Ketentuan Penggunaan Logo .............................................................. 143
B. Penggunaan Logo pada Stempel Instansi ............................................ 144
C. Penggunaan Logo pada Kop ................................................................. 145
D. Penggunaan Logo pada Sampul Naskah ............................................... 146
E. Penggunaan Logo pada Sampul Surat (Amplop) .................................. 146
F. Pengawasan ......................................................................................... 147

BAB V KEWENANGAN PENANDATANGANAN .......................................... 148

A. Kewenangan Penandatanganan Naskah Dinas ..................................... 148
B. Garis Kewenangan dan Penandatanganan .......................................... 148
C. Untuk Perhatian (u.p.) ......................................................................... 150
D. Pelaksana Tugas (Plt.) ......................................................................... 150
E. Pelaksana Harian (Plh.) ....................................................................... 151

BAB VI PENGURUSAN NASKAH DINAS KORESPONDENSI ..................... 152

A. Naskah Dinas Korespondensi Internal (Nota Dinas/Memorandum) ..... 152
B. Naskah Dinas Korespondensi Eksternal ............................................... 152
1. Ketentuan Penyusunan Surat Dinas ............................................. 152
2. Pengurusan Surat Masuk .............................................................. 152
3. Pengurusan Surat Keluar .............................................................. 155

BAB VII PERUBAHAN, PENCABUTAN, PEMBATALAN DAN RALAT NASKAH

DINAS ........................................................................................................ 160

BAB VIII PENUTUP ................................................................................................ 161